Redefiniendo la dislexia: explicando la variabilidad

The scientific effervescence that reigns around developmental dyslexia is explained by the difficult challenge that consists of ascribing this handicap to a single cause whilst multiple profiles of dyslexic patients can be observed. In this chapter, we start by presenting the main neuro-cognitive hypotheses that aim to explain dyslexia. We then review the multidimensional nature of dyslexia, and discuss the necessity of using a common diagnostic criteria to improve our understanding of its true nature. We then conclude by presenting promising work connecting cerebral endophenotypes and behavioral phenotypes highlighting the need for a multi-factorial rather than mono-theoretical account of developmental dyslexia.La efervescencia científica que reina en torno a la dislexia evolutiva se explica por el difícil desafío que implica atribuir esta dificultad a una causa simple al tiempo que se observan pacientes disléxicos con múltiples perfiles. En este capítulo, empezamos presentando la hipótesis neurocognitiva principal que persigue explicar la dislexia. Revisaremos la naturaleza multidimensional de la dislexia y discutiremos la necesidad de utilizar un criterio diagnóstico común para mejorar nuestra comprensión de su verdadera naturaleza. Concluiremos con la presentación de un trabajo prometedor que conecta endofenotipos cerebrales y fenotipos conductuales, resaltando la necesidad de un enfoque multifactorial más que monoteórico de la dislexia evolutiva

Redefiniendo la dislexia: explicando la variabilidad

The scientific effervescence that reigns around developmental dyslexia is explained by the difficult challenge that consists of ascribing this handicap to a single cause whilst multiple profiles of dyslexic patients can be observed. In this chapter, we start by presenting the main neuro-cognitive hypotheses that aim to explain dyslexia. We then review the multidimensional nature of dyslexia, and discuss the necessity of using a common diagnostic criteria to improve our understanding of its true nature. We then conclude by presenting promising work connecting cerebral endophenotypes and behavioral phenotypes highlighting the need for a multi-factorial rather than mono-theoretical account of developmental dyslexia.La efervescencia científica que reina en torno a la dislexia evolutiva se explica por el difícil desafío que implica atribuir esta dificultad a una causa simple al tiempo que se observan pacientes disléxicos con múltiples perfiles. En este capítulo, empezamos presentando la hipótesis neurocognitiva principal que persigue explicar la dislexia. Revisaremos la naturaleza multidimensional de la dislexia y discutiremos la necesidad de utilizar un criterio diagnóstico común para mejorar nuestra comprensión de su verdadera naturaleza. Concluiremos con la presentación de un trabajo prometedor que conecta endofenotipos cerebrales y fenotipos conductuales, resaltando la necesidad de un enfoque multifactorial más que monoteórico de la dislexia evolutiva

Automatization of membrane contactors and applications for the management of dissolved gases in wines

Over the last decade, several distinct research groups tested possible uses of membrane contactors for the wine industry, notably for the management of dissolved gases in wines, adjustment of the O2 concentration while reducing the O2 concentration at the same time. Other experiments were done with partial alcohol reduction and addition of N2 to wines. The contactor’s heart is its Liqui-Cel™ membrane where the two separate circuits meet. The membrane’s hydrophobic characteristics allows a liquid to get in contact with a gas, without dispersing into it. The directions that these gases take through the membrane depend on their partial pressure differences within the two circuits. However, other factors need to be considered to determine exact exchange rates for each target gas. The present article describes the new membrane contactor prototype that was co-developed by the University of applied Sciences and Arts, Viticulture and Enology at Changins, Switzerland, and the School of Engineering and Architecture at Fribourg, Switzerland. The prototype was designed for small scale operations. Flow rates, temperatures and internal pressures can be instantly measured and graphically visualized. Also, O2 concentrations are measured inside the liquid. CO2 concentrations in the liquid can be measured with a device that is connected to the liquid circuit through a bypass after the membranes.Während mehr als zehn Jahren testeten verschiedene Forschungsgruppen Einsatzmöglichkeiten von Membran-Kontaktoren für die Weinindustrie. Im Besonderen wurde die genaue Einstellung von gelösten Gasen im Wein untersucht, z. B. die Anpassung der CO2-Konzentration und gleichzeitige Reduzierung der O2-Konzentration. Teilweise Alkoholreduktion und Zugabe von N2 zum Wein sind weitere Möglichkeiten. Das Herzstück des Kontaktors ist seine Liqui-Cel™-Membran, wo sich zwei getrennte Kreisläufe treffen. Die wasserabstossenden Eigenschaften der Membran ermöglichen es einer Flüssigkeit, mit einem Gas in Kontakt zu treten, ohne sich darin zu verteilen. Die Richtung, die diese Gase durch die Membran nehmen, hängt von ihren unterschiedlichen Partialdrücken innerhalb der beiden Kreisläufe ab. Es müssen jedoch noch andere Faktoren berücksichtigt werden, um den genauen Austausch für jedes Gas zu ermitteln. Dieser Artikel beschreibt den neuen Prototyp eines Membran-Kontaktors, der von den Fachhochschulen für Weinbau und Önologie in Changins, Schweiz, und für Technik und Architektur in Freiburg, Schweiz, entwickelt wurde. Der Prototyp ist für die Anwendung mit kleinen Mengen vorgesehen. Fliessgeschwindigkeiten, Temperaturen und interner Druck können inline gemessen und grafisch dargestellt werden. Auch die O2-Konzentration kann im Flüssigkeitskreislauf gemessen werden. Die Konzentration von CO2 in der Flüssigkeit kann mit einem Gerät, welches nach den Membranen über einen Bypass an den Flüssigkeitskreislauf angeschlossen ist gemessen werden

DNA copy number alterations in central primitive neuroectodermal tumors and tumors of the pineal region: an international individual patient data meta-analysis

Little is known about frequency, association with clinical characteristics, and prognostic impact of DNA copy number alterations (CNA) on survival in central primitive neuroectodermal tumors (CNS-PNET) and tumors of the pineal region. Searches of MEDLINE, Pubmed, and EMBASE—after the original description of comparative genomic hybridization in 1992 and July 2010—identified 15 case series of patients with CNS-PNET and tumors of the pineal region whose tumors were investigated for genome-wide CNA. One additional case study was identified from contact with experts. Individual patient data were extracted from publications or obtained from investigators, and CNAs were converted to a digitized format suitable for data mining and subgroup identification. Summary profiles for genomic imbalances were generated from case-specific data. Overall survival (OS) was estimated using the Kaplan-Meier method, and by univariable and multivariable Cox regression models. In their overall CNA profiles, low grade tumors of the pineal region clearly diverged from CNS-PNET and pineoblastoma. At a median follow-up of 89months, 7-year OS rates of CNS-PNET, pineoblastoma, and low grade tumors of the pineal region were 22.9±6, 0±0, and 87.5±12%, respectively. Multivariable analysis revealed that histology (CNS-PNET), age (≤2.5years), and possibly recurrent CNAs were associated with unfavorable OS. DNA copy number profiling suggests a close relationship between CNS-PNET and pineoblastoma. Low grade tumors of the pineal region differed from CNS-PNET and pineoblastoma. Due to their high biological and clinical variability, a coordinated prospective validation in future studies is necessary to establish robust risk factor

Acral Acquired Cutis Laxa Associated with IgA Multiple Myeloma, Joint Hyper laxity and Urticarial Neutrophilic Dermatosis

Peer reviewe

Impact Assessment Modeling of Low-Water Management Policy

International audienceWe briefly present the main steps involved in designing and developing a platform for the numerical simulation of environmental and social impacts of the implementation of new environmental norms related to low-water management in France (MAELIA Project: multi-agents for environmental norms impact assessment). Some results are highlighted concerning in particular the structure of the underlying low-water management model and the process and agents' activity modeling

Prevalence and mechanisms of resistance to carbapenems in Enterobacteriaceae

Objectives: To determine the point prevalence of carbapenem-non-susceptible Enterobacteriaceae (CNSE) and carbapenemase-producing Enterobacteriaceae (CPE) isolates among hospitalized patients in Belgium. Methods: Twenty-four hospital-based laboratories prospectively collected 200 non-duplicated Enterobacteriaceae isolates from clinical specimens of hospitalized patients over a 2 month period. All isolates were screened locally for decreased susceptibility to carbapenem drugs using a disc diffusion method according to CLSI interpretative criteria. CNSE strains were referred centrally for confirmation of carbapenemase by phenotypic and molecular testing. Results: From February to April 2012, 158 of the 4564 screened Enterobacteriaceae isolates were categorized as non-susceptible to carbapenems, resulting in a point prevalence of CNSE of 3.5% (95% CI: 2.9%–4.2%; range per centre: 0.5%–8.5%). Of the 125 referred CNSE isolates, 11 Klebsiella pneumoniae isolates [OXA-48 (n=7), KPC type (n=3) and NDM type (n=1)], 1 OXA-48-positive Escherichia coli isolate and 1 KPC-positive Klebsiella oxytoca isolate were detected in eight hospitals. None of the 72 carbapenem-non-susceptible Enterobacter spp. isolates were confirmed as CPE. The minimal estimated point prevalence of CPE isolates was 0.28% (13/ 4564; 95% CI: 0.13%–0.44%) overall (range per centre: 0%–1.5%). Conclusions: Despite the overall low prevalence of CNSE found in this study, the detection of CPE isolates in one-third of the participating centres raises concerns and highly suggests the spread and establishment of CPE in Belgian hospitals

Interferon-Inducible Cholesterol-25-Hydroxylase Broadly Inhibits Viral Entry by Production of 25-Hydroxycholesterol

Interferons (IFN) are essential antiviral cytokines that establish the cellular antiviral state through upregulation of hundreds of interferon-stimulated genes (ISGs), most of which have uncharacterized functions and mechanisms. We identified Cholesterol-25-hydroxylase (Ch25h) as an antiviral ISG that can convert cholesterol to a soluble antiviral factor, 25-hydroxycholesterol (25HC). Ch25h expression or 25HC treatment in cultured cells broadly inhibits enveloped viruses including VSV, HSV, HIV, and MHV68 as well as acutely pathogenic EBOV, RVFV, RSSEV, and Nipah viruses under BSL4 conditions. As a soluble oxysterol, 25HC inhibits viral entry by blocking membrane fusion between virus and cell. In animal models, Ch25h-knockout mice were more susceptible to MHV68 lytic infection. Moreover, administration of 25HC in humanized mice suppressed HIV replication and rescued T-cell depletion. Thus, our studies demonstrate a unique mechanism by which IFN achieves its antiviral state through the production of a natural oxysterol to inhibit viral entry and implicate membrane-modifying oxysterols as potential antiviral therapeutics

Causes of decoupling between larval supply and settlement and consequences for understanding recruitment and population connectivity

Author Posting. © The Author(s), 2010. This is the author's version of the work. It is posted here by permission of Elsevier B.V. for personal use, not for redistribution. The definitive version was published in Journal of Experimental Marine Biology and Ecology 392 (2010): 9-21, doi:10.1016/j.jembe.2010.04.008.Marine broadcast spawners have two-phase life cycles, with pelagic larvae and benthic adults. Larval supply and settlement link these two phases and are crucial for the persistence of marine populations. Mainly due to the complexity in sampling larval supply accurately, many researchers use settlement as a proxy for larval supply. Larval supply is a constraining variable for settlement because, without larval supply, there is no settlement. Larval supply and settlement may not be well correlated, however, and settlement may not consistently estimate larval supply. This paper explores the argument that larval supply (i.e., larval abundance near settlement sites) may not relate linearly to settlement. We review the relationship between larval supply and settlement, from estimates and biases in larval supply sampling, to non-behavioral and behavioral components, including small-scale hydrodynamics, competency, gregarious behavior, intensification of settlement, lunar periodicity, predation and cannibalism. Physical and structural processes coupled with behavior, such as small-scale hydrodynamics and intensification of settlement, sometimes result in under- or overestimation of larval supply, where it is predicted from a linear relationship with settlement. Although settlement is a function of larval supply, spatial and temporal processes interact with larval behavior to distort the relationship between larval supply and settlement, and when these distortions act consistently in time and space, they cause biased estimates of larval supply from settlement data. Most of the examples discussed here suggest that behavior is the main source of the decoupling between larval supply and settlement because larval behavior affects the vertical distribution of larvae, the response of larvae to hydrodynamics, intensification of settlement, gregariousness, predation and cannibalism. Thus, larval behavior seems to limit broad generalizations on the regulation of settlement by larval supply. Knowledge of the relationship is further hindered by the lack of a well founded theoretical relationship between the two variables. The larval supply- settlement transition may have strong general consequences for population connectivity, since larval supply is a result of larval transport, and settlement constrains recruitment. Thus, measuring larval supply and settlement effectively allows more accurate quantification and understanding of larval transport, recruitment and population connectivity.JP would like to thank WHOI Ocean Life Institute for partial funding. FP’s contribution is based upon research supported by the South African Research Chairs Initiative of the Department of Science and Technology and National Research Foundation

Extracorporeal Membrane Oxygenation for Severe Acute Respiratory Distress Syndrome associated with COVID-19: An Emulated Target Trial Analysis.

RATIONALE: Whether COVID patients may benefit from extracorporeal membrane oxygenation (ECMO) compared with conventional invasive mechanical ventilation (IMV) remains unknown. OBJECTIVES: To estimate the effect of ECMO on 90-Day mortality vs IMV only Methods: Among 4,244 critically ill adult patients with COVID-19 included in a multicenter cohort study, we emulated a target trial comparing the treatment strategies of initiating ECMO vs. no ECMO within 7 days of IMV in patients with severe acute respiratory distress syndrome (PaO2/FiO2 <80 or PaCO2 ≥60 mmHg). We controlled for confounding using a multivariable Cox model based on predefined variables. MAIN RESULTS: 1,235 patients met the full eligibility criteria for the emulated trial, among whom 164 patients initiated ECMO. The ECMO strategy had a higher survival probability at Day-7 from the onset of eligibility criteria (87% vs 83%, risk difference: 4%, 95% CI 0;9%) which decreased during follow-up (survival at Day-90: 63% vs 65%, risk difference: -2%, 95% CI -10;5%). However, ECMO was associated with higher survival when performed in high-volume ECMO centers or in regions where a specific ECMO network organization was set up to handle high demand, and when initiated within the first 4 days of MV and in profoundly hypoxemic patients. CONCLUSIONS: In an emulated trial based on a nationwide COVID-19 cohort, we found differential survival over time of an ECMO compared with a no-ECMO strategy. However, ECMO was consistently associated with better outcomes when performed in high-volume centers and in regions with ECMO capacities specifically organized to handle high demand. This article is open access and distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/)